JUDALON CHARLENE SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165614

License Status

NOT RENEWED

Business

First Name

JUDALON

Middle

CHARLENE

Last Name

SPARKS

Business Name

JUDALON CHARLENE SPARKS

Original Issue Date

12/14/2005

Effective Date

01/26/2011

Expiration Date

03/31/2012

City

DUPO

State

Zip

62239

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/07/2012